Transcend, Triumph, and Thrive (3T) is a HIV prevention intervention study for transgender youth ages 15-24, looking at their use of Pre-exposure prophylaxis (PrEP) The purpose of this study is to pilot a program designed to address the health needs of transgender youth. 3T was designed based on focus group data from trans youth and will enroll 80 transfeminine, transmasculine and gender non-conforming/non-binary youth ages 15-24. Participants are enrolled for 12 months, starting with the 6-month intervention component.
The 6-month intervention is led by Community Health Workers (CHWs). Participants meet with their CHW to develop and implement a series of personalized goals related to their social, emotional, and physical health. Participants are asked to engage with online content via a study exclusive website. Topics include mental health, career/job skills, food and housing security, trauma, transitioning, and sexual and reproductive health. Each month, there is a forum with other participants and community member guest speakers focusing on the guiding principles of the study: being your authentic self, persevering in the face of adversity, loving oneself, advocating for oneself, and creating & contributing to the collective trans community. Participants may come to as many or few of these forums as they like. Participants also complete assessments (online surveys) at their enrollment, 3-month, 6-month, 9-month, and 12-month visits, and HIV and STI testing at their enrollment, 6-month, and 12-month visits. Additionally, participants are offered PrEP, at no cost, during the study. Taking PrEP is completely voluntary, and they will not receive an extra incentive if they decide to take it.